resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
July, 2005, Vol. 05, Issue 07
Healing Comes From Within
By Bruce Baltz
As massage therapists, our role is to initiate the natural healing process that lives within each one of us. But due to life's circumstances, our bodies are not always our best friends. We are trained at a very young age to hold in emotions and not express our feelings.As we get older most of us don't even recognize the turmoil that we have created inside our own bodies. As adults we have become quite proficient at masking our feelings to the point that it makes our day-to-day lives seem quite healthy; however, if we look at our lives a little closer we will find that a great deal of our imbalances is based on our reactions to fear. Most of us are taught that there will be consequences if we don't act a certain way or live up to certain expectations. So, as you can see, a pattern develops that does not necessarily work to our advantage.
First, we need to acknowledge that we are carrying emotional baggage that can be the root cause of many of our physical imbalances. We then have to look at the systems of the body and how they are affected unconsciously. Studies have shown that the autonomic nervous system holds the key to many of our physical discomforts and problems. Stress and fear are two of the most notable causes that directly correlate to the dysfunction of the autonomic nervous system, better known as dysautonomia.
The chain of communication starting with the hypothalamus communicates with the pituitary gland and then the adrenal gland. These three glands produce many of the hormones that we need to keep the body in balance. But stress and fear tend to overload our systems to the point of losing touch with our overall well-being.
The autonomic nervous system is broken into three parts: sympathetic (flight or fight), parasympathetic (rest and digest) and the enteric brain (digestive brain). Dr. Paul Canali of the Evolutionary Healing Center in South Florida has been a pioneer in the search for therapies that positively affect the autonomic nervous system. According to Dr. Canali, "The autonomic nervous system was always thought to be just that - automatic, motor-like, reflex-like, in neutral. It doesn't matter if a car suddenly cuts you off on the freeway or your boss tells you you're fired, your autonomic system reacts the same way. Muscles contract, blood pressure goes up, digestion stops, your heart races, these are but a few of the many reactions activated in the body's autonomic nervous system survival mode. The good news is that the autonomic nervous system also has a built-in healing network that can override years of painful stress and trauma.
"This part of the system allows for the deepest of human emotion, feeling of safety, love, and hope to be activated. These are what I call autonomic afferents, and they can receive information by specific sensory stimulation to free the nervous system that is stuck in a desperate survival mode. As much as 85 percent of modern disease may be due to the stress of being stuck in autonomic survival mode."
One of the most important steps in the healing process is to have our bodies recognize that there is a problem in the way our autonomic nervous system function. One of the ways to accomplish this is to bring attention to the system, which is already overloaded. Bringing awareness into different areas of our body can do this by touch.
The work can be done through contact to cervical, thoracic, lumbar and sacral regions of the spine and their surrounding tissues. Dr. Canali is the developer of the Enteric Brain Technique; he has also found that working with specific visceral stimulation with cognitive support will affect the enteric brain portion of the autonomic nervous system. The enteric brain is literally our second body brain. It controls and produces dozens of healing chemicals. Ninety-five percent of the body's serotonin, the anti-depression/ecstasy molecule is stored here.
According to Dr. Canali, "The enteric brain is the gateway to the parasympatic system's most influential nerve - the vagus nerve - which, when given the proper support, can send a powerful message to the brain; that is, to slow down, rest, digest and most importantly to heal."
Dr. Canali and I are experimenting with the use of temperature with both hot and cold stonework and a massage table that has a heated water bladder instead of a foam pad* to see what the effects may be on the autonomic nervous system. One of the things the autonomic nervous system controls is body temperature; vasoconstriction or vasodilatation of blood vessels does this. Interestingly, this same reaction is part of the fear or stress response. When the nervous system senses danger, it contracts the surface blood vessels and muscles, and shunts the blood to the deeper more powerful survival muscles. Unfortunately, we can become stuck in this contracted survival mode. The use of hot and cold therapy seems to be one of the ways to turn off this survival reflex. Dr. Canali and I believe in the healing powers of hydrotherapy and are very optimistic on the direct correlation temperature will have on the systems in the body.
Lets look at a common scenario: A client comes in with an acute injury and after a duration of time, it will become chronic. Depending on the response your client has, the treatment, and what the client is willing to do to help him/herself, this chronic stage could turn into adaptation. When we adapt to a condition, our body compensates for imbalances. At this time, we become our worst enemy. Our internal systems start to change; our physical function is affected, and pain is the most likely outcome.
One of the last phases of adaptation is disease, which often results in depression and frustration. It's much easier to work within this framework sooner rather than later. We as human beings have to take responsibility for our internal well-being and recognize our body's natural healing powers. We are looking to open the communications system that exists within us so that it will better serve us in order to maintain optimal health. Over-stimulation on almost every level means that our body no longer has that "rest to digest" stage. The stress from our everyday lives, (jobs, society, relationships) all contribute to this, overloading our systems, which cause imbalance and disease.
In order to be of greater benefit to our clients, our approach must be multidimensional. The physical bodywork is only one piece of the puzzle. When we look at the physical, there is also a nutritional component that needs to be addressed. Without the proper nutrients, our bodies will not be able to produce the essential chemical reactions that are necessary to maintain optimal function. Then there is the emotional/spiritual side. There are as many ways of tapping into this realm as our physical modalities for the body. It is imperative that whatever modality is utilized, the client must also resonate with it. Doctors and therapists must have the proper training and education to back up their protocol of treatments.
As massage therapists, we have the ability to initiate communication with the autonomic nervous system in profound ways. First, we must gain the trust of our clients on an emotional and physical level. Once this is done, our bodies will do the rest.
*The Mermaid table, produced by Golden Ratio.
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